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Volume 356:524-526 February 1, 2007 Number 5
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Prevention of Meningococcal Disease

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by Gardner, P.
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To the Editor: In his article on the prevention of meningococcal disease, Gardner (Oct. 5 issue)1 notes that both active and passive smoking may be risk factors for the disease but does not address the issue of exposure to smokers as differentiated from exposure to smoke. Contact with smokers rather than smoke is now recognized as a critical risk factor, most likely owing to higher rates of carriage and coughing among smokers.2,3,4 The case–control study by Coen et al. of 144 teenage survivors of meningococcal disease showed that older teens are more at risk from exposure to smokers than to . . . [Full Text of this Article]



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